SUSAN J SAM
NPI 1225565377
Nurse Practitioner - Family in Grosse Pointe, MI

Active since May 20, 2017
468 CADIEUX RD, GROSSE POINTE, MI 48230(313) 473-1605 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 6, 2021, May 20, 2017 (2 updates tracked since 2017).

About Susan J Sam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN J SAM (NPI 1225565377) is an individual family provider in Grosse Pointe, Michigan, licensed in Michigan (4704257975) and active in the NPI registry since May 2017. She maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1225565377
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN J SAM
Location Address468 CADIEUX RDGrosse Pointe, MI 48230-1507
Mailing Address7146 N Central ParkShelby Twp, MI 48317-2388 · (586) 722-3339
Sole ProprietorNo
Enumeration DateMay 20, 2017
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
NPI 1225565377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704257975
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 4704257975 (MI)
468 CADIEUX RD, Grosse Pointe, MI 48230

Secondary Practice Location 1

Location 144201 Dequindre RdTroy, MI 48085-1117 · Phone (248) 964-5000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
468 CADIEUX RD
GROSSE POINTE, MI 48230
Radiology (Diagnostic Radiology)
468 CADIEUX RD
GROSSE POINTE, MI 48230
Physician Assistant
468 CADIEUX RD
GROSSE POINTE, MI 48230
Physician Assistant (Medical)
468 CADIEUX RD
GROSSE POINTE, MI 48230
Nurse Practitioner
468 CADIEUX RD
GROSSE POINTE, MI 48230
Physician Assistant
468 CADIEUX RD
GROSSE POINTE, MI 48230
Physician Assistant
468 CADIEUX RD
GROSSE POINTE, MI 48230
Nurse Anesthetist, Certified Registered
468 CADIEUX RD
GROSSE POINTE, MI 48230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Sam's NPI number?

The NPI number for Susan Sam is 1225565377. It was assigned to this individual provider in the NPPES registry on May 20, 2017.

Where is Susan Sam located?

Susan Sam practices at 468 Cadieux Rd, Grosse Pointe, MI 48230. The listed phone number is (313) 473-1605.

What is Susan Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Susan Sam was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.